Provider Demographics
NPI:1144736935
Name:SOLOMON, DEBORAH LYNN (CNP (PMHNP))
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LYNN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CNP (PMHNP)
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:LYNN
Other - Last Name:MYNCHENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2495 SOUTH MASON RD
Mailing Address - Street 2:#217
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:216-526-2892
Mailing Address - Fax:
Practice Address - Street 1:2821 MCKINNEY AVE
Practice Address - Street 2:STE 9
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-8555
Practice Address - Country:US
Practice Address - Phone:617-379-0496
Practice Address - Fax:617-379-0434
Is Sole Proprietor?:No
Enumeration Date:2017-12-16
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022380363LP0808X
OHAPRN.CNS.09180364SA2200X
TX1003046363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health